Uke waba nobuhlungu esiswini kanye nokungakhululeki izinsuku eziningi? Udokotela wakho kungenzeka ukuthi ukutshelile ukuthi unesifo samathumbu esivuvukalayo (IBD) njengesifo sikaCrohn. Uma unalesi simo isikhathi eside, ezinye izindawo ngaphakathi kwamathumbu akho ziqala ukuncipha kancane kancane. Kufana nepayipi lamanzi elibhajwa phakathi. Ngakho-ke, sibiza lokhu ngokuthi ukuhlinzwa okukhethekile ukuze kwandiswe lezi zindawo ezincishisiwe 'iStrictureplasty'. Namuhla, sizoxoxa ngakho konke ngamagama alula.
Kuyini ngempela i-Strictureplasty?
Kalula nje, i-strictureplasty inqubo yokuhlinzwa eyandisa indawo encane noma evinjiwe emathunjini akho (ebizwa ngokuthi i-stricture). Lokhu kuvame ukubangelwa ukuvuvukala okungapheli, okubangelwa izifo zamathumbu ezivuvukalayo (IBD) njengesifo sikaCrohn kanye ne-Ulcerative Colitis. Lokhu kuvuvukala kubangela izibazi ezindongeni zamathumbu, okubangela ukuba ziqine futhi zinciphe.
Lezi zinhlobo zezithiyo zivame kakhulu ukwenzeka ku:
- Ingxenye engezansi yamathumbu amancane (ileum)
- Ngokuphathelene nevalvu exhumanisa amathumbu amancane kanye namathumbu amakhulu (i-'ileocecal valve`).
Kodwa-ke, lesi simo singase senzeke nakumathumbu amakhulu, i-rectum, kanye ne-anus. Umgomo oyinhloko walokhu kuhlinzwa ukwandisa ingxenye encane yamathumbu nokubuyisela ukunyakaza okuvamile kokudla, ngaphandle kokususa noma iyiphi ingxenye yamathumbu.
Kungani udinga lokhu kuhlinzwa?
Uma ingxenye yamathumbu akho incipha kanje, ukudla akukwazi ukwehla kahle. Lokhu kungabangela izimpawu eziningi ezingakhululekile nezibuhlungu.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ubuhlungu obukhulu besisu nokuxhuga | Lobuhlungu buvela ngoba amathumbu ayafinyela njengoba ezama ukudlulisa ukudla kulokho okuvalekile. |
| Ukuqunjelwa kwesisu kanye nokuqunjelwa | Isisu siyavuvukala ngoba ukudla nomoya akukwazi ukwehla kahle bese kubhajwa endaweni eyodwa. |
| Isicanucanu nokuhlanza | Uma ukuvaleka kukhulu, ukudla kungase kungakwazi ukwehla futhi kungase kubuye kukhuphuke. |
| Ukuqunjelwa | Ukuzikhulula kuba nzima ngenxa yenqubo yokugaya ukudla ehamba kancane. |
| Ukulahlekelwa yisifiso sokudla kanye nokwehla kwesisindo | Ngenxa yobuhlungu nokungakhululeki, isifiso sokudla siyaphela, futhi umzimba awukwazi ukumunca izakhamzimba ngendlela efanele. |
| Ukukhathala kanye ne-Anemia | Ngokuvamile, izilonda zakha kulezi zindawo ezinciphile. Lezi zilonda zopha kancane kancane, okuholela ekulahlekelweni kwegazi ngokuhamba kwesikhathi. Lesi simo siyaphela ngemva kokuhlinzwa. |
Into ebaluleke kakhulu: Uma lokhu kuncipha kuqhubeka nokwanda, amathumbu angavaleka ngokuphelele (ukuvinjelwa kwamathumbu). Lesi yisimo esiyingozi kakhulu futhi esisongela ngisho nokuphila. Ngakho-ke, uma unezimpawu, kubalulekile ukubona udokotela ngokushesha.
Ubani lo kuhlinzwa okufanelekela kakhulu futhi okungafaneleki kuye?
Ukuhlinzwa kwe-Strictureplasty akuwona wonke umuntu. Udokotela wakho uzothatha isinqumo esingcono kakhulu ngokusekelwe esimweni sakho.
| Labo abafanelekela ukuhlinzwa | Amacala lapho ukuhlinzwa kunganconywa |
|---|---|
| Uma kukhona ukuncishiswa okuningana ezindaweni eziseduze nengxenye ende yamathumbu. | Uma kukhona ukuncishiswa okuningana engxenyeni emfushane yamathumbu, vala ndawonye. |
| Uma uke wahlinzwa amathumbu ngaphambilini. | Uma kukhona ukulimala, ukuvuvukala, i-fistula, noma ukukhula okungavamile endaweni encishisiwe. |
| Uma unesifo samathumbu esifushane. | Ukuncipha kuseduze nendawo yokuhlinzwa yangaphambili (i-anastomosis). |
| Uma kukhona ukuncipha kuphela, ngaphandle kokuvuvukala noma ukulimala endaweni encishisiwe. | Uma unesithumbu esinezimbobo. |
| Uma unezimpawu ezivamile zesifo sikaCrohn. | Uma uhlushwa ukungondleki kahle okukhulu. |
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Ngenxa yokuthi lokhu kuwukuhlinzwa okuhleliwe, udokotela wakho uzokwenza izivivinyo eziningana kusengaphambili.
- Ukuhlolwa Kwezithombe: Kuzokwenziwa ukuhlolwa okufana ne-CT scan noma i-Magnetic Resonance Enterography (MRE) ukuze kubonakale ukuthi ukuncipha kukuphi emathunjini akho nokuthi bude kangakanani.
- Ukuhlolwa Kwegazi: Ukuhlolwa kwegazi kuzokwenziwa ukuhlola isimo sakho sokudla okunempilo. Uma ungondlekile kahle, ungase unikezwe izithasiselo zokudla okunempilo ngomthambo (`IV`) izinsuku ezimbalwa ngaphambi kokuhlinzwa. Lokhu kuzokusiza ukuthi ululame ngokushesha ngemva kokuhlinzwa.
- I-Stoma (isikhwama se-Ostomy): Kwezinye izimo, ngemva kokuhlinzwa, kungadingeka kwenziwe imbobo yesikhashana (`stoma`) ebusweni besikhumba sesisu ukuze kudlule indle, futhi kungadingeka kufakwe isikhwama (`isikhwama se-ostomy`) kuze kube yilapho ithumbu selipholile. Ungakhathazeki ngalokhu. Uma lokhu kudingeka, udokotela wakho uzokuchazela kahle ngaphambi kokuhlinzwa.
Kwenziwa kanjani ukuhlinzwa?
I-Strictureplasty iwukuhlinzwa okukhulu okwenziwa ngaphansi kwe-anesthesia ejwayelekile. Kuzodingeka uhlale esibhedlela izinsuku ezimbalwa. Ngaphambi kokuba ukuhlinzwa kuqale, uzonikezwa i-anesthesia ejwayelekile, ngakho ngeke uzwe ubuhlungu noma ukhumbule ukuhlinzwa.
Ngesikhathi sokuhlinzwa, udokotela ohlinzayo wenza ukusika engxenyeni encane yamathumbu bese eyithunga. Cabanga ngakho njengokusika ipayipi elivalekile ubude, uhlukanise izinhlangothi ezimbili zokusika, bese uwathunga ndawonye. Uma amathumbu ebanzi, ukudla kungahamba kalula kuwo futhi. Uma unezicucu eziningi, uvame ukuzelapha zonke ngokuhlinzwa okukodwa.
Kunezinhlobo eziningana ze-Strictureplasty kuye ngobude bokuncishiswa:
I-Heineke-Mikulicz Strictureplasty
Lena yindlela evame ukusetshenziswa kakhulu. Yenzelwa ukuncishiswa okufushane kunamasentimitha ayi-10 (cishe amasentimitha angu-4).
I-Finney noma i-Jaboulay Strictureplasty
Lokhu kusetshenziselwa ukuncipha okuphakathi kwamasentimitha ayi-10-20 (cishe amasentimitha ayi-8) ubude. Kulokhu kuhlinzwa, amathumbu agoqwa abe yisimo 'sika-U'.
I-Michelassi Strictureplasty
Lena inqubo ekhethekile yokubopha okungaphezu kwamasentimitha angama-20. Kule nqubo, ingxenye encane yamathumbu igoqwa kabili, izinhlangothi ezimbili zihlanganiswa, kwenziwa ukusika okude, bese kuthi kokubili kuthungwe ndawonye.
Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa?
Lokhu ukuhlinzwa okukhulu, ngakho-ke kuzothatha isikhathi ukuthi ululame. Kungase kudingeke uhlale esibhedlela cishe isonto . Uma kunezinkinga, kungadingeka uhlale isikhathi eside.
- Ubuhlungu: Ungase uzwe ubuhlungu besisu ezinsukwini ezimbalwa zokuqala ngemva kokuhlinzwa. Udokotela uzokunikeza imithi yobuhlungu ngalokhu.
- Imikhawulo: Ngeke ukwazi ukwenza izinto ezifana nokuphakamisa izinsimbi noma ukushayela amasonto ambalwa.
- Qaphela ukutheleleka: Kufanele uqaphele kakhulu ngokutheleleka ngemva kokuhlinzwa. Uma unezimpawu ezifana nobuhlungu obukhulu, umkhuhlane, ukubomvu noma ukuvuvukala endaweni yokuhlinzwa, noma ukuphuma kwegazi okungajwayelekile esilondeni, kufanele wazise udokotela wakho ngokushesha .
- Ukudla: Kuye ngesimo sakho, udokotela wakho noma isazi sokudla okunempilo singase sincome ukudla okukhethekile (`ukudla okuthambile kwe-GI`).
- Ukwelashwa kwe-IBD: Into ebalulekile okufanele uyikhumbule ukuthi lokhu kuhlinzwa kwandisa kuphela ukuncipha. Akuyiqedi i-IBD eyisisekelo (njenge-Crohn's). Ngakho-ke, kuzodingeka uqhubeke uthatha eminye imithi yesimo sakho.
Uyini umehluko phakathi kwe-'Strictureplasty' kanye ne-'Bowel Resection'?
Lona umbuzo abantu abaningi abawubuzayo. Kunomehluko omkhulu phakathi kwalokhu kuhlinzwa okubili.
| Isici | Ukwelulwa kwe-Strictureplasty (ukwandisa) | Ukususwa Kwamathumbu |
|---|---|---|
| Okufanele ngikwenze | Ingxenye encane yamathumbu ibanzi . | Ingxenye encane yamathumbu iyasikwa bese kuthi izingxenye ezimbili ezisele zihlanganiswe. |
| Inzuzo eyinhloko | Ubude bonke bamathumbu buyagcinwa, kunciphisa ingozi ye-'Short Bowel Syndrome' (izinkinga zokumuncwa kokudla) . | Ingozi yokuthi inkinga iphinde ivele endaweni efanayo ingase inciphe kancane. |
| Ingozi yesikhathi esizayo | Kunethuba elikhulu lokuthi ukuhlinzwa kuzodingeka futhi esikhathini esizayo. | Kunethuba elincane lokudinga ukuhlinzwa kabusha esikhathini esizayo. |
Odokotela bavame ukuzama i-strictureplasty kuqala, ngoba ukulondoloza ubude bamathumbu kubaluleke kakhulu ekudleni.
Umlayezo Wokuya Nawe Ekhaya
- I-Strictureplasty iwukuhlinzwa kokwandisa izindawo ezincane zamathumbu ngenxa yezifo ezifana ne-Crohn's. Akubandakanyi ukusika izingxenye zamathumbu.
- Lokhu kuhlinzwa kungaqeda izimpawu ezifana nobuhlungu besisu nokuqunjelwa, futhi kunciphise ingozi yokuvaleka kwamathumbu ngokuphelele.
- Lokhu kuhlinzwa akufanele wonke umuntu. Udokotela wakho uzonquma ukwelashwa okufanele kakhulu ngokusekelwe esimweni sakho.
- Lokhu ukuhlinzwa okukhulu, ngakho kuthatha isikhathi ukuphulukiswa. Kunezingozi ezifana nokutheleleka kanye nokopha.
- Lokhu kuhlinzwa kuzoqeda kuphela ukuvaleka kwezicubu. Isifo esiyisisekelo (i-IBD) kumele siphathwe njalo.
- Uma unemibuzo ngalokhu, ungesabi ukukhuluma nodokotela wakho ukuze uthole konke okuqondiwe.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho